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NPI Code Detail

MEDICARE: THE CLEVELAND CLINIC FOUNDATION

MEDICARE: THE CLEVELAND CLINIC FOUNDATION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208D00000XGeneral Practice Physician

General Provider Information

NPI Number : 1336078211
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE CLEVELAND CLINIC FOUNDATION
Provider Business Mailing Address
First Line : 6801 BRECKSVILLE RD
Second Line : STE 20 ATTN: DPC RK2-7
City : INDEPEDENCE
State : OH
Zip : 44131-5062
Country : US
Telephone Number : 999-999-9999
Fax Number :
Provider Business Practice Location Address
First Line : 3925 DARROW RD
Second Line : STE 105
City : STOW
State : OH
Zip : 44224
Country : US
Telephone Number : 216-444-2273
Fax Number :
Authorized Official
Title or Position : EXECUTIVE VP CHIEF FINANCE OFFICE
Name : DENNIS LEE LARAWAY
Credential :
Telephone Number : 216-445-1343
Provider Enumeration Date : 05/16/2026
Last Update Date : 05/16/2026

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Directions to “THE CLEVELAND CLINIC FOUNDATION ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.